Coleen Reilly, MSN, APRN, FNP-C
Nurse Practitioner, Family in Port St Lucie, FL. Individual provider (NPI-1).
NPI number1164095550
StatusActive
Last updated in NPPESDec 22, 2022
Details
- NPI
- 1164095550
- Entity type
- Individual (NPI-1)
- Name
- Coleen Reilly
- Credential
- MSN, APRN, FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 22, 2021
- Certification date
- Dec 22, 2022
- Last updated
- Dec 22, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 11014451 | FL | Yes |
Practice location
672 Sw Prima Vista Blvd Ste 102Port St Lucie, FL 34983-1820
Phone 772-905-2560 · Fax 772-336-8341
Mailing address
2313 Sw 18th TerCape Coral, FL 33991-3058
Phone 814-644-8299
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